Healthcare Provider Details

I. General information

NPI: 1891429353
Provider Name (Legal Business Name): MUHAMMAD MAHAD ALVI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHILDRENS WAY
NASHVILLE TN
37232-0005
US

IV. Provider business mailing address

2200 CHILDRENS WAY
NASHVILLE TN
37232-0005
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-7449
  • Fax:
Mailing address:
  • Phone: 615-322-7449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125.080684
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number75031
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: